Free CCRP Practice Questions

Question 1

An exercise prescription specifies 60% of heart-rate reserve. The patient's resting heart rate is 60 beats/min on the current metoprolol dose. A recent symptom-limited test on that dose reached 140 beats/min without ischemia or significant arrhythmia; an older test without metoprolol reached 160 beats/min. Which training heart rate implements the prescription using the appropriate test?

Accepted Answer

108 beats/min

Answer

84 beats/min

Answer

96 beats/min

Answer

120 beats/min

Question 2

A 72-year-old woman with longstanding hypertension enters rehabilitation after hospitalization for pulmonary congestion. Echocardiography shows a left ventricular ejection fraction of 58%, concentric hypertrophy, elevated filling pressures, and no significant valve disease. She asks how she could have heart failure when her ejection fraction is preserved. The finding that explains this apparent contradiction is:

Accepted Answer

Reduced left ventricular compliance, increasing pressure during diastolic filling

Answer

Reduced left ventricular contractility, impairing the fraction ejected during systole

Answer

Significant mitral regurgitation, redirecting the stroke volume into the left atrium

Answer

Pulmonary arteriolar obstruction, producing isolated right ventricular pressure overload

Question 3

During cycling, an insulin-treated participant becomes shaky and sweaty. Exercise is stopped. The continuous glucose monitor displays 105 mg/dL, but a promptly obtained finger-stick glucose is 58 mg/dL. The participant is alert and can swallow safely. Oral glucose is immediately available. What treatment should be given now?

Accepted Answer

Give 15 g oral glucose, then recheck the finger-stick level in 15 minutes.

Answer

Give a chocolate snack containing 15 g carbohydrate, then recheck in 15 minutes.

Answer

Observe without carbohydrate for 15 minutes, then use the sensor reading to reassess.

Answer

Give glucagon and activate emergency services because the glucose is below 70 mg/dL.

Question 4

At intake, an asymptomatic participant has a blood pressure of 166/94 mmHg after five minutes of seated rest. Recent home readings are approximately 128/78 mmHg. The participant's upper-arm circumference is 40 cm, but the cuff used in the clinic is labeled for arms measuring 22-32 cm. Before interpreting the discrepancy, the rehabilitation professional should:

Accepted Answer

Repeat the measurement with a validated device and an appropriately sized cuff.

Answer

Arrange medication intensification on the basis of the higher clinic reading.

Answer

Use the home average to clear today's exercise without another clinic measurement.

Answer

Defer rehabilitation until the prescriber has evaluated the apparent loss of blood pressure control.

Question 5

To 'eat low fat,' a patient with coronary disease replaced cheese and pastries with large portions of fat-free cookies and refined-grain crackers. Weight is unchanged, triglycerides have risen, and LDL cholesterol remains elevated. The dietitian is helping the patient improve food quality without increasing calories. Which substitution best advances that goal?

Accepted Answer

Replace the refined-grain snack with an equal-calorie portion of unsalted nuts.

Answer

Replace the cookies with an equal-calorie serving of coconut-oil snack bars labeled cholesterol-free.

Answer

Replace the crackers with an equal-calorie serving of fat-free, sugar-sweetened fruit yogurt.

Answer

Replace the cookies with an equal-calorie glass of 100% fruit juice without added sugar.

Question 6

An intake PHQ-9 total is 16, with a score of 0 on the self-harm item. In a follow-up interview, the patient reports that low mood and poor motivation interfere with daily activities but denies suicidal thoughts or intent. Which interpretation belongs in the assessment?

Accepted Answer

Depressive symptoms are moderately severe; further clinical evaluation is needed to determine diagnosis and treatment.

Answer

Major depressive disorder is established; the questionnaire supplies sufficient evidence for a definitive diagnosis.

Answer

Symptoms are moderate; arrange clinical evaluation rather than diagnosing depression from the screening result.

Answer

Psychiatric hospitalization is indicated; the total score establishes an immediate danger despite the interview findings.

Question 7

A monitored participant suddenly develops a regular monomorphic wide-complex tachycardia at 182 beats/min. A pulse remains palpable, but blood pressure is 76/46 mmHg and the participant becomes confused. Exercise has stopped, the emergency response team is present, and the defibrillator can synchronize reliably. Which intervention should the rehabilitation team prepare to support immediately?

Accepted Answer

Prompt synchronized cardioversion

Answer

Immediate unsynchronized defibrillation

Answer

Rapid intravenous adenosine

Answer

Intravenous amiodarone loading

Question 8

A warehouse employee wants to resume repeated lifting tasks estimated to require 6 METs. The Duke Activity Status Index suggests a capacity of approximately 7.5 METs. However, a recent adequately performed symptom-limited exercise test ended at 5 METs because of limiting dyspnea. How should the rehabilitation professional use these findings in return-to-work counseling?

Accepted Answer

Use the demonstrated limitation to guide graded duties and evaluation of the actual lifting tasks.

Answer

Support unrestricted duties because the questionnaire estimate exceeds the job's metabolic demand.

Answer

Use the midpoint of the questionnaire and exercise-test estimates as the employee's current work capacity.

Answer

Treat the 6-MET tasks as acceptable provided each lifting effort lasts less than ten minutes.

Question 9

A fasting laboratory report lists total cholesterol 236 mg/dL, HDL cholesterol 36 mg/dL, triglycerides 460 mg/dL, and LDL cholesterol 108 mg/dL. The report identifies LDL as calculated with the Friedewald equation. Before this LDL result is used to judge treatment response, which statement is most important?

Accepted Answer

The triglyceride level makes this Friedewald estimate unreliable for judging the LDL response.

Answer

The LDL estimate is dependable because fasting eliminates triglyceride-related limitations of the equation.

Answer

The low HDL concentration, rather than the triglyceride level, makes this LDL calculation invalid.

Answer

Non-HDL cholesterol is also uninterpretable until the triglyceride concentration falls below 400 mg/dL.

Question 10

Four months after a myocardial infarction, a 79-year-old participant has unintentionally lost 8% of body weight. BMI remains 28 kg/m², but appetite is poor and rising from a chair has become difficult. The participant is euvolemic, with no recent diuretic change. The team is evaluating the cause of the weight loss. Which weight-management goal is appropriate during that evaluation?

Accepted Answer

Prevent further unintended loss while restoring nutritional intake and preserving muscle function.

Answer

Continue a moderate calorie deficit until BMI falls into the normal-weight category.

Answer

Maintain the current eating pattern because the lower body weight reduces cardiac workload.

Answer

Suspend exercise training until the participant has regained the full amount of lost weight.

Free CCRP Practice Questions

Domain 1: Research Study Start-Up 40% of exam

Question 1

Domain 2: Research Study Implementation 50% of exam

Question 2

Domain 3: Research Study Closure 10% of exam

Question 3

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